Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-10T04:02:22.850Z Has data issue: false hasContentIssue false

Emotional and Physical Child Abuse in The Context of Natural Disasters: A Focus on Haiti

Published online by Cambridge University Press:  29 May 2019

Sony Subedi
Affiliation:
Department of Public Health Sciences, Queens University, Kingston, Ontario, Canada
Susan Bartels*
Affiliation:
Department of Emergency Medicine, Queens University, Kingston, Ontario, Canada
Colleen Davison
Affiliation:
Department of Public Health Sciences, Queens University, Kingston, Ontario, Canada
*
Correspondence and reprint requests to Susan Bartels, Department of Emergency Medicine, Queen’s University, 76 Stuart Street, Victory 3, Kingston, Ontario Canada K7L 4V7 (e-mail: susanabartels@gmail.com).

Abstract

Objective:

To investigate the social and living conditions of households in Haiti before and after the 2010 earthquake and to determine the prevalence of emotional and physical abuse of children aged 2 to 14 in households after the earthquake.

Methods:

Nationally representative samples of Haitian households from the 2005/2006 and 2012 phases of the Demographic and Health Surveys were used. Descriptive data were summarized with frequencies and measures of central tendency. Chi-squared and independent t tests were used to compare pre-earthquake and post-earthquake data. Basic mapping was used to explore patterns of child abuse in relation to proximity to the epicenter.

Results:

Comparison of pre-earthquake and post-earthquake data showed noteworthy improvements in the education attainment of the household head and possession of mobile phones after the earthquake. The prevalence of emotional, physical, and severe physical abuse in 2012 was estimated to be 78.5%, 77.0%, and 15.4%, respectively. Mapping revealed no conclusive patterns between the proximity of each region to the epicenter and the prevalence of the different forms of abuse. However, the prevalence of severe physical abuse was notably higher in settlement camps (25.0%) than it was in Haiti overall (15.4%).

Conclusions:

The high prevalence of child abuse in Haiti highlights an urgent need for interventions aimed at reducing occurrences of household child abuse.

Type
Original Research
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Hou, L, Shi, P. Haiti 2010 earthquake—how to explain such huge losses? Int J Disaster Risk Sci. 2011;2(1):2533. doi: 10.1007/s13753-011-0003-xCrossRefGoogle Scholar
Alsan, MM, Westerhaus, M, Herce, M, et al. Poverty, global health, and infectious disease: lessons from Haiti and Rwanda. Infect Dis Clin North Am. 2011;25(2):611622. doi: 10.1016/j.idc.2011.05.004CrossRefGoogle ScholarPubMed
Government of Haiti. Action Plan for National Recovery and Development of Haiti. https://whc.unesco.org/document/106589. Published 2010. Accessed November 14, 2017.Google Scholar
Raviola, G, Eustache, E, Oswald, C, et al. Mental health response in Haiti in the aftermath of the 2010 earthquake: a case study for building long-term solutions. Harv Rev Psychiatry. 2012;20(1):6877. doi: 10.3109/10673229.2012.652877CrossRefGoogle ScholarPubMed
World Health Organization. Interpersonal Violence and Disasters. http://www.who.int/violence_injury_prevention/publications/violence/violence_disasters.pdf. Published 2005. Accessed January 5, 2018.Google Scholar
Pfrimmer, DM. Cholera in Haiti. J Contin Educ Nurs. 2010;41(12):536537. doi: 10.3928/00220124-20101122-04Google ScholarPubMed
Curtis, T, Miller, BC, Berry, EH. Changes in reports and incidence of child abuse following natural disasters. Child Abuse Negl. 2000;24(9):11511162. doi: 10.1016/S0145-2134(00)00176-9CrossRefGoogle ScholarPubMed
Keenan, HT, Marshall, SW, Nocera, MA, et al. Increased incidence of inflicted traumatic brain injury in children after a natural disaster. Am J Prev Med. 2004;26(3):189193. doi: 10.1016/j.amepre.2003.10.023CrossRefGoogle ScholarPubMed
World Health Organization. Child Abuse and Neglect. Geneva: BMJ; 1996.Google Scholar
Hoffman, JS, World Report on Violence and Health. Inj Prev. 2003;9(1):93. doi: 10.1136/ip.9.1.93CrossRefGoogle Scholar
United Nations General Assembly. Convention on the rights of a child. Treaty Ser. 1989;1577(November):115. doi: 10.2307/4065371Google Scholar
United Nations High Commissioner for Refugees. Ratification of 18 International Human Rights Treaties. http://indicators.ohchr.org. Accessed November 23, 2017.Google Scholar
Milne, E. Prohibiting and eliminating corporal punishment: a key health issue in addressing violence against children. https://www.who.int/topics/violence/Global-Initiative-End-All-Corporal-Punishment-children.pdf. Published May 2015. Accessed April 2019.Google Scholar
Loi relative a l’interdiction et a l’elimination de toutes formes d’abus, de violence, de mauvais traitements ou traitements inhumains contre les enfants. [Law regarding the prohibition and elimination of all forms of abuse, violence, ill treatment or inhumane treatment of children.] June 5, 2003. http://ilo.org/dyn/natlex/docs/SERIAL/76872/81235/F-2079639566/HTI-76872.pdf. Accessed January 6, 2018.Google Scholar
Global Legal Information Network, Library of Congress. Summary: Law of 24 September 2001. http://www.glin.gov/view.action?glinID=82531. Accessed January 2018.Google Scholar
Law & Conflict Working Group. Children’s Legal Rights in Haiti. http://ihrp.law.utoronto.ca/utfl_file/count/documents/FinalHaitiReport.pdf. Published 2008. Accessed November 4, 2018.Google Scholar
Cayemittes, M, Busangu, MF, de Bizimana, JD, et al. Haiti DHS 2012 Final Report. Maryland: Springer; 2013.Google Scholar
Chiu, GR, Lutfey, KE, Litman, HJ, et al. Prevalence and overlap of childhood and adult physical, sexual, and emotional abuse: a descriptive analysis of results from the Boston Area Community Health (BACH) Survey. Violence Vict. 2013;28(3):1143. doi: 10.1891/0886-6708.11-043CrossRefGoogle ScholarPubMed
Hillis, S, Mercy, J, Amobi, A, et al. Global prevalence of past-year violence against children: a systematic review and minimum estimates. Pediatrics. 2016;137(3):e20154079e20154079. doi: 10.1542/peds.2015-4079CrossRefGoogle ScholarPubMed
Lilleston, PS, Goldmann, L, Verma, RK, et al. Understanding social norms and violence in childhood: theoretical underpinnings and strategies for intervention. Psychol Heal Med; 2017. doi: 10.1080/13548506.2016.1271954CrossRefGoogle ScholarPubMed
Krug, EG, Mercy, JA, Dahlberg, LL, et al. Lancet. 2002;360(9339):10831088. doi: 10.1016/S0140-6736(02)11133-0.CrossRefGoogle Scholar
Pinheiro, PS. World Report on Violence Against Children. https://www.unicef.org/violencestudy/I.%20World%20Report%20on%20Violence%20against%20Children.pdf. Published 2006. Accessed December 15, 2017.Google Scholar
Mikton, C, Butchart, A. Child maltreatment prevention: a systematic review of reviews. Bull World Health Organ. 2009;87(5):353361. doi: 10.2471/BLT.08.057075CrossRefGoogle ScholarPubMed
Olds, DL, Henderson, CR, Chamberlin, R, et al. Preventing child abuse and neglect: a randomized trial of nurse home visitation. Child Youth Serv Rev. 2019;98:312318. doi: 10.1016/0190-7409(93)90045-B.Google Scholar
Bengtsson, L, Lu, X, Thorson, A, et al. Improved response to disasters and outbreaks by tracking population movements with mobile phone network data: a post-earthquake geospatial study in Haiti. PLoS Med. 2011;8(8):19. doi: 10.1371/journal.pmed.1001083CrossRefGoogle ScholarPubMed
Molina, MA, Ramírez, N, José, J, et al. Encuesta Demográfica y de Salud República Dominicana 2007. https://www.dhsprogram.com/pubs/pdf/FR205/FR205.pdf. Published 2007. Accessed October 25, 2018.Google Scholar
Achécar, MM, Ramírez, N, José, JP, et al. Encuesta Demográfica y de Salud República Dominicana 2013. https://dhsprogram.com/pubs/pdf/FR292/FR292.pdf. Published 2013. Accessed October 25, 2018.Google Scholar
Gething, PW, Tatem, AJ. Can mobile phone data improve emergency response to natural disasters? PLoS Med. 2011;8(8):e1001085. doi: 10.1371/journal.pmed.1001085CrossRefGoogle ScholarPubMed
Bastawrous, A, Armstrong, MJ. Mobile health use in low- and high-income countries: an overview of the peer-reviewed literature. J R Soc Med. 2013;106(4):130142. doi: 10.1177/0141076812472620CrossRefGoogle ScholarPubMed
Blakeslee, KM, Patel, DM, Simon, MA. Communications and Technology for Violence Prevention for Violence Prevention. Washington, DC: National Academies Press; 2012.Google Scholar
Eras, AC, Joseph, N, Franco, L, et al. The World Bank’s Education For All phase II in Haiti case study. INNOVA Res J. 2016;1(2):1027.10.33890/innova.v1.n2.2016.9CrossRefGoogle Scholar
Engle, J. Stories of tragedy, trust and transformation? a case study of education-centered community development in post-earthquake Haiti. Prog Plann. 2018;124:134. doi: 10.1016/j.progress.2017.04.001CrossRefGoogle Scholar
Kligerman, M, Barry, M, Walmer, D, et al. International aid and natural disasters: a pre- and post-earthquake longitudinal study of the healthcare infrastructure in Leogane, Haiti. Am J Trop Med Hyg. 2015;92(2):448453. doi: 10.4269/ajtmh.14-0379CrossRefGoogle ScholarPubMed
Reza, A, Lea, V, Hast, M, et al. Violence Against Children in Haiti: Findings From a National Survey. https://www.cdc.gov/violenceprevention/pdf/violence-haiti.pdf. Accessed April 2019.Google Scholar
DesRoches, R, Comerio, M, Eberhard, M, et al. Overview of the 2010 Haiti earthquake. Earthq Spectra. 2011;27(suppl 1):S1S21. doi: 10.1193/1.3630129CrossRefGoogle Scholar
Cavallo, E, Powell, A, Becerra, O. Estimating the direct economic damages of the earthquake in Haiti. Econ J (Lond). 2010;120(546):F298F312. doi: 10.1111/j.1468-0297.2010.02378.xGoogle Scholar